Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.22 / $56.22 / $104.57	Facility	26	$56.22	$56.22	$104.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.54 / $194.35 / $296.56	Professional		$153.54	$194.35	$296.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $64.75 / $176.87	Professional	26	$53.70	$64.75	$176.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $97.12 / $128.52 / $206.54	Professional	TC	$97.12	$128.52	$206.54
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $129.22 / $143.41 / $286.66	Facility	26	$129.22	$143.41	$286.66
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $223.52 / $557.97 / $1,779.01	Professional		$223.52	$557.97	$1,779.01
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $58.63 / $116.26 / $367.94	Professional	26	$58.63	$116.26	$367.94
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $204.25 / $497.79 / $1,449.19	Professional	TC	$204.25	$497.79	$1,449.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $79.33 / $111.35 / $147.97	Professional	26	$79.33	$111.35	$147.97
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $175.31 / $175.31 / $212.34	Professional	TC	$175.31	$175.31	$212.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $313.07 / $552.47 / $1,033.86	Professional		$313.07	$552.47	$1,033.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.36 / $95.05 / $168.91	Professional	26	$61.36	$95.05	$168.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $251.47 / $444.00 / $864.96	Professional	TC	$251.47	$444.00	$864.96
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $42.51 / $190.67 / $455.33	Professional		$42.51	$190.67	$455.33
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $359.22 / $679.68 / $915.65	Professional		$359.22	$679.68	$915.65
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $70.86 / $138.74 / $185.31	Professional	26	$70.86	$138.74	$185.31
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $288.36 / $564.61 / $754.09	Professional	TC	$288.36	$564.61	$754.09
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $134.77 / $286.66 / $286.66	Facility	26	$134.77	$286.66	$286.66
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $306.55 / $614.04 / $1,779.01	Professional		$306.55	$614.04	$1,779.01
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $61.71 / $119.84 / $367.94	Professional	26	$61.71	$119.84	$367.94
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $249.39 / $518.36 / $1,449.19	Professional	TC	$249.39	$518.36	$1,449.19
United Facility/Professional Professional Modifier Low / Median / High Price $306.55 / $445.80 / $957.26	Professional		$306.55	$445.80	$957.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.71 / $88.08 / $176.48	Professional	26	$61.71	$88.08	$176.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $239.41 / $424.60 / $836.03	Professional	TC	$239.41	$424.60	$836.03